James L. Poulton, PH.D., P.C., Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

114917-2501 Issued in UT

Legal business name

JAMES L. POULTON, PH.D., P.C., INC.

Practice address

850 E 300 S
Suite 10
Salt Lake City, UT 84102-2332

Phone

(801) 350-0117

Fax

(801) 350-3536

NPI assigned

Feb 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James Lawrence Poulton, PH.D.NPI 1710028378

Title

President

Phone

(801) 350-0117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James L Poulton, PH.D.

  • Clinical Psychologist
  • Salt Lake City, UT
  • NPI 1710028378
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1972644540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E 300 S",
            "address_2": "SUITE 10",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022332",
            "telephone_number": "801-350-0117",
            "fax_number": "801-350-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E 300 S",
            "address_2": "SUITE 10",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022332",
            "telephone_number": "801-350-0117",
            "fax_number": "801-350-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L. POULTON, PH.D., P.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "POULTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-350-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "114917-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loni Jakubowski, RPAC
• Yasaman Jaladat
• Aliea Marie Jalali, DO
• James C. Stringham M.D., PC
• James L Larsen
• James M Struve Inc
• James Mason Centers for Recovery
• James S Kahn PHD LLC
• James T. Roth, M.D., P.C.
• Heidi James-Martinez

• Mental Health Clinic/Center (Including Community Mental Health Center) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.